SANDLAKE LIVING ASSISTED HOME NPI 1578511291

NPI Information

SANDLAKE LIVING ASSISTED HOME is an assisted living facility in Jacksonville, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. SANDLAKE LIVING ASSISTED HOME NPI is 1578511291. The provider is registered as an organization entity type.

The provider's business location address is:

7798 ORTEGA BLUFF PKWY
JACKSONVILLE, FL
ZIP 32244-209
Phone: (904) 779-6878
Fax: (904) 772-7733

The provider's authorized official is Lashawnda Kim Lewis .
The authorized official title is President and has the following contact phone number (904) 779-6878.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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